Organization
LA JOLLA ORTHOPEDIC TRAUMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THUNDER MD (PRESIDENT)
(858) 535-1075
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1224
(858) 535-1075
(858) 452-3283
Mailing address
9850 GENESEE AVE, SUITE 210, LA JOLLA, CA 92037-1224
(858) 535-1075
(858) 452-3283
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
05/17/2022
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